Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Professional		$190.55	$223.87	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $645.65	Professional		$302.00	$436.52	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $302.00	Facility		$257.04	$295.12	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $338.84	Professional		$190.55	$218.78	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08